Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Colorado for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Colorado only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Colorado (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Catholic Health Initiatives Colorado (NPI 1265445977)

Catholic Health Initiatives Colorado is a family medicine physician provider located in Westminster, Colorado. This profile covers 0 Medicare and 51 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Catholic Health Initiatives Colorado
Address	14300 Orchard Pkwy
City	Westminster
State	CO
ZIP	80023
Taxonomy	Family Medicine Physician
NPI Enumerated	August 14, 2006

Payer Source	Total Paid
Medicaid	$5M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

51 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	52,460	$70	$3.6M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	23,380	$50	$1.1M
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	2,070	$40	$80.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	750	$70	$50.8K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	910	$50	$41.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	700	$50	$33.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	2,880	$10	$31.7K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	670	$30	$20.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	110	$90	$9.4K
90682	This code represents a quadrivalent flu vaccine given by injection into the muscle. The vaccine is made using recombinant DNA technology and contains only a protein from the virus. It does not…	1,490	$10	$9K

Showing 1–10 of 51

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.

Claims Volume vs. Colorado Distribution

Catholic Health Initiatives Colorado — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

51 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	85	2,520	330	$100	$352K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	16	2,630	430	$90	$268.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	108	240	550	$110	$208.5K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	208	220	340	$60	$188.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	229	260	380	$100	$161.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	102	260	280	$40	$123.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	188	290	160	$110	$111.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	388	720	130	$100	$110K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	104	330	530	$30	$100.6K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	171	280	510	$30	$77.4K

Showing 1–10 of 51

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Catholic Health Initiatives Colorado	CO	General Acute Care Hospital	$0	$25.2M
Catholic Health Initiatives Colorado	CO	General Acute Care Hospital	$0	$23.6M
Davis Hospital & Medical Center LP	UT	General Acute Care Hospital	$0	$22.5M
Jordan Valley Medical Center LP	UT	General Acute Care Hospital	$0	$15.6M
Marian Health Center-smhc	IA	General Acute Care Hospital	$0	$15.5M
Salt Lake Regional Medical Center LP	UT	General Acute Care Hospital	$0	$9.8M
Catholic Health Initiatives Colorado	CO	General Acute Care Hospital	$0	$8.9M
Catholic Health Initiatives Colorado	CO	Rural Health Clinic/Center	$0	$8.3M
Catholic Health Iniatives Colorado	CO	General Acute Care Hospital	$0	$7.5M
Jordan Valley Medical Center LP	UT	General Acute Care Hospital	$0	$7.3M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital Colorado	CO	Children's Hospital	$0	$11.4M
North Metro Fire Rescue District	CO	Ambulance	$461.5K	$3M
Marina Moskalenko	CO	Radiation Oncology Physician	$751.7K	$0
Advanced Heart And Vein Surgery Center, LLC	CO	Ambulatory Surgical Clinic/Center	$489.1K	$0
Matthew Mcdiarmid	CO	Interventional Cardiology Physician	$164.9K	$0
Jonathan Ramharack	CO	Internal Medicine Physician	$152.9K	$0
Costco Wholesale Corporation	CO	Community/Retail Pharmacy	$131.4K	$0
James Martau	CO	Geriatric Medicine (Internal Medicine) Physician	$110.7K	$0
Qaisar Khan	CO	Interventional Cardiology Physician	$102.3K	$0
Elena Chertkova	CO	Family Medicine Physician	$81.1K	$0

Catholic Health Initiatives Colorado — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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